Individual provider Active NPI

Anthony Sechuk, PT

  • Physical Therapist
  • Bala Cynwyd, PA
National Provider Identifier
1578080750
Registry record updated Aug 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT026240 Issued in PA
Practice address
100 Presidential Blvd
Bala Cynwyd, PA 19004-1108
Phone
(610) 668-0904
NPI assigned
Aug 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT026240 PA Primary

Addresses

Primary practice location

100 Presidential Blvd
Bala Cynwyd, PA 19004-1108

Mailing address

214 Fitzwater St
Philadelphia, PA 19147-3305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200507000944 PA Practitioner - Physical Therapist in Private Practice 7810328838 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Rehabilitation Systems, Inc. Current Accepting new patients
Keystone Rehabilitation Systems, Inc. CurrentSince Feb 28, 2023 Accepting new patients
Novacare Outpatient Rehabilitation East Inc CurrentSince Feb 28, 2023 Accepting new patients
Reconstructive Orthopaedic Associates II LLC CurrentSince May 1, 2020 Accepting new patients
Keystone Rehabilitation Systems, Inc. CurrentSince Feb 28, 2023 Accepting new patients
Novacare Outpatient Rehabilitation East, Inc. CurrentSince Feb 28, 2023 Accepting new patients
Novacare Outpatient Rehabilitation East, Inc. Physical Therapist Current Accepting new patients
Reconstructive Orthopaedic Associates II LLC Physical Therapist CurrentSince May 1, 2020 Accepting new patients

Locations

289 Cetronia Rd
#102
Allentown, PA 18104
Phone (484) 705-0964

825 Old Lancaster Rd
Bryn Mawr, PA 19010
Phone (610) 527-0800

725 Cherrington Pkwy
Ste 200
Moon Twp, PA 15108
Phone (412) 262-7800

833 Chestnut St
Ste 520
Philadelphia, PA 19107
Phone (267) 592-6191

925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503878400000",
    "number": "1578080750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 FITZWATER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191473305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PRESIDENTIAL BLVD",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041108",
            "telephone_number": "610-668-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SECHUK",
        "first_name": "ANTHONY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-28",
        "last_updated": "2017-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT026240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.